<?php echo $control->renderView("header"); ?>

<link rel="stylesheet" type="text/css" href="<?php echo Yii::app()->request->baseUrl.'/css/BWeMember/wei_bind.css'?>">

<div id="page_applicable" class="topCities div-body">

    <div id="mappContainer">
        <div class="footFix" id="topCity" data-ffix-top="0">
            <div class="inner"><span class="cityname">我的资料</span>
                <a class="toggle" href="javascript:void(0)" data-ajax-act="{#toggleCityLink.ajaxAct#}" data-ajax-params="{#toggleCityLink.ajaxParams#}" hidden="">{#toggleCityLink.label#}</a>
            </div>
        </div>
        <div class="inner root" style="height: 765px;">
            <h2>完善会员卡资料</h2>
            <div class="qb_gap pg_upgrade_content">


                <script>
                    var inputItems = [];
                    var submitUrl = "/wsh/modUser";
                </script>

                <!-- 姓名 -->
                <div class="mod_input qb_mb10">
                    姓　　名：
                    <input value="" class="flex_box" placeholder="请输入姓名">
                </div>

                <!-- 性别 -->
                <div class="mod_input qb_mb10">
                    性　　别：
                    <label class="qb_mr10"> <i class="qb_icon icon_checkbox" id="gradenameboy"></i>男 <i class="qb_icon icon_checkbox" id="gradenamegirl"></i>女 </label>
                </div>
                <span id="spanMsg_inGender" style="display: none;">请选择您的性别</span>
                <!-- 生日 -->
                <div class="mod_input qb_mb10 qb_flex">
                    <div>
                        生　　日： </div>
                    <input value="" id="inBirthday" style="display:none">

                    <select class="mod_input qb_mb10 qb_flex" id="inBirthYear" style="padding:0px;margin:2px 2px 0 0;float:left;height: 31px;line-height:31px;font-size: 14px;outline: none;" onchange="chooseDate(false);">
                        <option value="0">年</option>
                        <option value="2014">2014</option>
                        <option value="2013">2013</option>
                        <option value="2012">2012</option>
                        <option value="2011">2011</option>
                        <option value="2010">2010</option>
                        <option value="2009">2009</option>
                        <option value="2008">2008</option>
                        <option value="2007">2007</option>
                        <option value="2006">2006</option>
                        <option value="2005">2005</option>
                        <option value="2004">2004</option>
                        <option value="2003">2003</option>
                        <option value="2002">2002</option>
                        <option value="2001">2001</option>
                        <option value="2000">2000</option>
                        <option value="1999">1999</option>
                        <option value="1998">1998</option>
                        <option value="1997">1997</option>
                        <option value="1996">1996</option>
                        <option value="1995">1995</option>
                        <option value="1994">1994</option>
                        <option value="1993">1993</option>
                        <option value="1992">1992</option>
                        <option value="1991">1991</option>
                        <option value="1990">1990</option>
                        <option value="1989">1989</option>
                        <option value="1988">1988</option>
                        <option value="1987">1987</option>
                        <option value="1986">1986</option>
                        <option value="1985">1985</option>
                        <option value="1984">1984</option>
                        <option value="1983">1983</option>
                        <option value="1982">1982</option>
                        <option value="1981">1981</option>
                        <option value="1980">1980</option>
                        <option value="1979">1979</option>
                        <option value="1978">1978</option>
                        <option value="1977">1977</option>
                        <option value="1976">1976</option>
                        <option value="1975">1975</option>
                        <option value="1974">1974</option>
                        <option value="1973">1973</option>
                        <option value="1972">1972</option>
                        <option value="1971">1971</option>
                        <option value="1970">1970</option>
                        <option value="1969">1969</option>
                        <option value="1968">1968</option>
                        <option value="1967">1967</option>
                        <option value="1966">1966</option>
                        <option value="1965">1965</option>
                        <option value="1964">1964</option>
                        <option value="1963">1963</option>
                        <option value="1962">1962</option>
                        <option value="1961">1961</option>
                        <option value="1960">1960</option>
                        <option value="1959">1959</option>
                        <option value="1958">1958</option>
                        <option value="1957">1957</option>
                        <option value="1956">1956</option>
                        <option value="1955">1955</option>
                        <option value="1954">1954</option>
                        <option value="1953">1953</option>
                        <option value="1952">1952</option>
                        <option value="1951">1951</option>
                        <option value="1950">1950</option>
                        <option value="1949">1949</option>
                        <option value="1948">1948</option>
                        <option value="1947">1947</option>
                        <option value="1946">1946</option>
                        <option value="1945">1945</option>
                        <option value="1944">1944</option>
                        <option value="1943">1943</option>
                        <option value="1942">1942</option>
                        <option value="1941">1941</option>
                        <option value="1940">1940</option>
                        <option value="1939">1939</option>
                        <option value="1938">1938</option>
                        <option value="1937">1937</option>
                        <option value="1936">1936</option>
                        <option value="1935">1935</option>
                        <option value="1934">1934</option>
                        <option value="1933">1933</option>
                        <option value="1932">1932</option>
                        <option value="1931">1931</option>
                        <option value="1930">1930</option>
                        <option value="1929">1929</option>
                        <option value="1928">1928</option>
                        <option value="1927">1927</option>
                        <option value="1926">1926</option>
                        <option value="1925">1925</option>
                        <option value="1924">1924</option>
                        <option value="1923">1923</option>
                        <option value="1922">1922</option>
                        <option value="1921">1921</option>
                        <option value="1920">1920</option>
                        <option value="1919">1919</option>
                        <option value="1918">1918</option>
                        <option value="1917">1917</option>
                        <option value="1916">1916</option>
                        <option value="1915">1915</option>
                        <option value="1914">1914</option>
                    </select>

                    <!--<input  name ="upgradeinput" type="date" id="birthtxt" class="flex_box" placeholder="年" maxlength="4" />-->
                    <select class="mod_input qb_mb10 qb_flex" id="inBirthMonth" style="padding:0px;margin:2px 2px 0 0;line-height:31px;float:left;height: 31px;font-size: 14px;outline: none;" onchange="chooseDate(false);">
                        <option value="0">月</option>
                        <option value="01">1</option>
                        <option value="02">2</option>
                        <option value="03">3</option>
                        <option value="04">4</option>
                        <option value="05">5</option>
                        <option value="06">6</option>
                        <option value="07">7</option>
                        <option value="08">8</option>
                        <option value="09">9</option>
                        <option value="10">10</option>
                        <option value="11">11</option>
                        <option value="12">12</option>
                    </select>

                    <!--<input  name ="upgradeinput" type="date" id="birthtxt" class="flex_box" placeholder="年" maxlength="4" />-->
                    <select class="mod_input qb_mb10 qb_flex" id="inBirthDay" style="padding:0px;margin:2px 2px 0 0;line-height:31px;float:left;height: 31px;font-size: 14px;outline: none;">
                        <option value="0">日</option>
                        <option value="1">1</option>
                        <option value="2">2</option>
                        <option value="3">3</option>
                        <option value="4">4</option>
                        <option value="5">5</option>
                        <option value="6">6</option>
                        <option value="7">7</option>
                        <option value="8">8</option>
                        <option value="9">9</option>
                        <option value="10">10</option>
                        <option value="11">11</option>
                        <option value="12">12</option>
                        <option value="13">13</option>
                        <option value="14">14</option>
                        <option value="15">15</option>
                        <option value="16">16</option>
                        <option value="17">17</option>
                        <option value="18">18</option>
                        <option value="19">19</option>
                        <option value="20">20</option>
                        <option value="21">21</option>
                        <option value="22">22</option>
                        <option value="23">23</option>
                        <option value="24">24</option>
                        <option value="25">25</option>
                        <option value="26">26</option>
                        <option value="27">27</option>
                        <option value="28">28</option>
                        <option value="29">29</option>
                        <option value="30">30</option>
                        <option value="31">31</option>
                    </select>
                </div>
                <span id="spanMsg_inBirthday" style="display: none;">请选择您的生日</span>
                <script>
                    inputItems[inputItems.length] = "inBirthday";
                </script>

                <!-- 手机号 -->
                <div class="mod_input qb_mb10 qb_flex" id="divTel">
                    <label for="_tmp_4">手　　机：</label>
                    <input value="" class="flex_box" placeholder="请输入手机号" id="inTel" type="tel" onblur="hideOne(&quot;divTel&quot;)" onfocus="showOne(&quot;divTel&quot;)" oninput="testSubmitOk(&quot;inTel&quot;)">
                </div>
                <span id="spanMsg_inTel" style="display: none;">请填写一个有效的手机号</span>
                <script>
                    inputItems[inputItems.length] = "inTel";
                </script>

                <!-- 短信验证 -->
                <div class="qb_flex qb_mb10">
                    <div class="mod_input flex_box qb_mr10" id="recaptchaCon">
                        <div class="qb_flex">
                            <label for="_tmp_5" style="display: block; width: 70px">验&nbsp;证&nbsp;码：</label>
                            <input id="inCode" type="text" class="flex_box" placeholder="请输入验证码" onblur="hideOne(&quot;recaptchaCon&quot;)" onfocus="showOne(&quot;recaptchaCon&quot;)" oninput="testSubmitOk(&quot;inCode&quot;)">
                        </div>
                    </div>
                    <a class="btn_code " href="javascript:;" id="recaptchaBtn">获取验证码</a>
                </div>
                <span id="spanMsg_inCode" style="display: none;">请填写验证码</span>
                <!-- 邮箱 -->
                <div class="mod_input qb_mb10">
                    邮　　箱：
                    <input value="" class="flex_box" placeholder="请输入邮箱">
                </div>
                <script>
                    inputItems[inputItems.length] = "inCode";
                </script>




                <a id="submitBtn" href="http://life.qq.com/wsh/modUser?qrcode=q13863040106217&ticket=011ee1fefe7cea2d5a19520b7ec8dc9n&wticket=1c0a3f5b56b41ea345d6cf726402021b#" class="mod_btn btn_block qb_mb10 ">提&nbsp;交</a>
            </div>
        </div>

        <?php echo $control->renderView("footerReturn"); ?>

    </div>

    <?php echo $control->renderView("footer"); ?>

</div>